While the citations will be publicly displayed, they will not be included in the Five-Star Quality Rating calculation until the dispute is complete. This new information will begin appearing on Care Compare on January 25, 2023. Source: OIG analysis of CMS Care Compare data, 2021. Surveyors cite deficiencies during these surveys when they observe a nursing home violating a Federal. Displaying this information while it is under dispute can help consumers make more informed choices when it comes to evaluating a facility. the safety and quality of care provided by nursing homes. This level of citation occurs when the health and safety of residents could be at risk for serious injury, serious harm, serious impairment or death. While the number of actual deficiencies under dispute is relatively small, they can include severe instances of non-compliance such as Immediate Jeopardy (IJ) citations. This process usually takes approximately 60 days however, some cases can take longer. Currently, when a facility disputes a survey deficiency, that deficiency is not posted to Care Compare until the dispute process is complete. (Here’s a hint: CMS concurred with all four of the OIG recommendations.) You’ll also want to review Appendix E for more information on that topic.CMS plans to take a new step to increase the transparency of nursing home information by publicly displaying survey citations that facilities are disputing. What does CMS think of the OIG recommendations? You’ll want to read the specifics found on page 28. Take additional steps to strengthen oversight of nursing home staffing.Consider residents’ level of need when identifying nursing homes for weekend inspections.Ensure the accuracy of non-nurse staffing data used on Care Compare.Provide data to consumers on nurse staff turnover and tenure, as required by Federal law.CMS has taken an important step by using staffing data to inform State inspections, but it has opportunities to better target oversight.CMS has a robust process for ensuring the reliability of nurse staffing data, but it lacks similar processes for non-nurse staffing data.CMS provides consumers with most-but not all-required information about staffing in nursing homes.(OIG) also surveyed State survey agencies to understand how CMS works with them to monitor compliance with requirements for nursing home staffing and to identify any gaps in oversight of nursing home staffing.įindings (you’ll want to read the report for the specifics!): (OIG) analyzed staffing information reported by nursing homes, conducted in-depth interviews with subject-matter experts at CMS, and reviewed CMS documentation. Further, CMS also works with State survey agencies to monitor nursing home compliance with Federal requirements, including those for staffing. The usefulness of this information to consumers depends on the extent to which it is complete and accurate. Specifically, consumers can search nursing homes on the basis of location and compare quality of care and staffing. Care Compare includes the same staffing information that had been found on Nursing Home Compare. In December 2020, CMS replaced Nursing Home Compare with a new website called Care Compare. In April 2018, CMS began updating staffing measures on Nursing Home Compare, a public website, with these staffing data. Since November 2016, CMS has required nursing homes to submit payroll-based staffing data, including data on nurses and non-nurses. (OIG) also noted recent CMS actions through December 2020. This review focuses on the Centers for Medicare & Medicaid Services’ (CMS’s) use of data on nursing home staffing from April 2018 through March 2019- before the COVID-19 pandemic. The above statements introduced the OIG Report (same title as the title of this blog) OEI-04-18-00451 (46 pages) that was posted March 9, 2021. CMS reported that the COVID-19 pandemic delayed its progress to implement these requirements.” Specifically, the staffing information that CMS provides on Care Compare could be more useful to consumers if it included data on nurse staff turnover and tenure, as required by Federal law. However, CMS has opportunities to better use the staffing information that nursing homes report. Additionally, CMS has implemented a robust process to ensure the reliability of this nurse staffing information. There, consumers can use Staffing Star Ratings to compare nurse staffing between nursing homes. CMS provides the public with some of this staffing information on the Care Compare website. “The Centers for Medicare and Medicaid Services (CMS) has taken important steps to build a new source for data on nursing home staffing and to use these data to better inform consumers and improve nursing home oversight.
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